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糖尿病患者的白内障手术及其并发症

Cataract surgery and its complications in diabetic patients.

作者信息

Haddad Nour Maya N, Sun Jennifer K, Abujaber Samer, Schlossman Deborah K, Silva Paolo S

机构信息

Beetham Eye Institute, Joslin Diabetes Center .

出版信息

Semin Ophthalmol. 2014 Sep-Nov;29(5-6):329-37. doi: 10.3109/08820538.2014.959197.

Abstract

Diabetic patients are known to have an increased risk of cataract development and cataract surgery is a common surgical procedure for diabetic individuals. Cataract extraction (CE) in diabetic patients as compared to non-diabetic patients is associated with higher risks of reported complications such as capsular contraction and opacification as well as post-surgical worsening of macular edema (ME) and diabetic retinopathy (DR). In this paper, we review the pathogenesis of diabetic cataract, the risk factors contributing to cataract complications as well as DR progression, and assess preventive measures and treatment options for DR and ME following CE.

摘要

众所周知,糖尿病患者患白内障的风险增加,白内障手术是糖尿病患者常见的外科手术。与非糖尿病患者相比,糖尿病患者的白内障摘除术(CE)与更高的并发症风险相关,如囊膜收缩和混浊,以及术后黄斑水肿(ME)和糖尿病视网膜病变(DR)的恶化。在本文中,我们回顾了糖尿病性白内障的发病机制、导致白内障并发症以及DR进展的危险因素,并评估了CE术后DR和ME的预防措施及治疗选择。

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